Individual
SAMANTHA THERESA GLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
299 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1217
(631) 473-4284
Mailing address
12 WILMONT TURN, CORAM, NY 11727-1034
(631) 972-4434
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
004310-01
NY
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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